KATHRYN K BANNER


Address: 1180 Hope St, Bristol, RI 02809-1126
Phone: 4012470610

KATHRYN K BANNER (NPI# 1417094061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417094061
Entity Type Individual
Full Name KATHRYN K BANNER
Credential MD
Practice Address 1180 Hope St
Bristol
RI 02809-1126
Practice Telephone 4012470610
Practice Fax Number 4012533131
Mailing Telephone 4012470610
Mailing Fax Number 4012533131
Enumeration Date 2007-01-31
Last Update Date 2010-12-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine MD12307 RI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
RI NEIGHBORHOOD HEALTH PLAN 32535 01
RI 1417094 05
RI BCHIP 414090 01
RI HARVARD PILGRIM AA89360 01
RI B/S 0000032662 01
RI UHC 050340866 01

Office Location

Street Address 1180 HOPE ST
City BRISTOL
State RI
Zip Code 02809-1126

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467453431 Geoffrey Robert Hamilton Internal Medicine 1180 Hope St, Bristol, RI 02809-1126 2005-08-02
1639793441 Andrew Sakovits Optometrist 1180 Hope St, Bristol, RI 02809-1126 2020-06-08
1376049379 Kara E Frade Nurse Practitioner 1180 Hope St, Bristol, RI 02809-1126 2018-03-30
1578924460 Ana Paula Silva Nurse Practitioner 1180 Hope St, Bristol, RI 02809-1126 2016-03-19
1780937474 Alexander Robert Pease Pharmacist 1180 Hope St, Bristol, RI 02809-1126 2012-10-18
1467712349 Sarah M Riedo Internal Medicine 1180 Hope St, Bristol, RI 02809-1126 2012-05-24
1649544610 Nicholas Paul Pelletier Physician Assistant 1180 Hope St, Bristol, RI 02809-1126 2012-03-08
1760769640 John Wescott Massage Therapist 1180 Hope St, Bristol, RI 02809-1126 2011-11-07
1265721054 Reuben Harel Reich Dermatology 1180 Hope St, Bristol, RI 02809-1126 2011-04-01
1518298272 Maria Lola Cevallos Alomia Internal Medicine 1180 Hope St, Bristol, RI 02809-1126 2010-01-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598246068 Maryann Bishop Physical Therapist 7 Creek Lane, Bristol, RI 02809 2018-08-23
1063913127 Melanie Hopper Koppelman Acupuncturist Harbor Integrative Health, LLC, 60 Poppasquash Road, Bristol, RI 02809 2018-02-23
1871011478 Ashley Hayes Pereira Occupational Therapist 31 Duffield Rd, Bristol, RI 02809 2017-09-03
1447792437 Marguerite Peruto Counselor 10 Wardwell Street, Studio #4, Bristol, RI 02809 2016-11-08
1174829873 Meghan Elizabeth Martorana Dietitian, Registered 685 Metacom Avenue, Bristol, RI 02809 2011-01-28
1881909794 Hoffmann Chiropractic Inc Chiropractor 450 Hope Street, Bristol, RI 02809 2010-08-16
1558555961 Michael James Allen Dentist 36 Bradford Street, Bristol, RI 02809 2007-08-29
1033309141 Melinda Mary Allaire Physical Therapist 2 Ruth Ave, Bristol, RI 02809 2007-07-26
1033240726 Emily Snow Delconte Dietitian, Registered 685 Metacom Ave, Bristol, RI 02809 2007-03-07
1881756203 Warren Dental Associates Inc Dentist 634 Main Street, Warren, RI 02809 2006-12-14
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881219863 Eahab Abdul-lattif Internal Medicine 500 Bath Road, Bristol, PA 19007 2020-06-15
1043856677 Pac of Tennessee PC Internal Medicine 1958 West State Street, Suite 2, Bristol, TN 37620-2257 2019-11-19
1992157903 Aiman Riaz Internal Medicine 41 Brewster Rd # 5161, Bristol, CT 06010 2016-07-01
1760822365 Ricky Bhimani Internal Medicine 208 Medical Park Boulevard, Bristol, TN 37620 2013-06-27
1679879118 Ravikumar Patel Internal Medicine 1 Medical Park Blvd Ste 255w, Bristol, TN 37620-7430 2011-02-01
1528274859 Holly Amber Berndt Internal Medicine 1 Medical Park Blvd Ste 350w, Bristol, TN 37620-7471 2007-05-15
1396871422 Basharat A. Shah Internal Medicine 1 Medical Park Blvd., Bristol Regional Medical Center, Bristol, TN 37620 2007-02-25
1114063948 Wendie M Puls Internal Medicine 30 Mountain St, Bristol, VT 05443-1310 2007-01-29
1467520114 Dorcas B Goodman Internal Medicine 11033 Nw State Road 20, Bristol, FL 32321-6406 2006-12-01
1235222506 John Arthur Frazier Internal Medicine 123 Maple St, Bristol, CT 06010-5037 2006-10-01
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Competitor

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City BRISTOL
Zip Code 02809

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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